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Proximal forearm ulnar nerve conduction techniques.

G Felsenthal, P S Brockman, D L Mondell

Archives of Physical Medicine and Rehabilitation

|July 1, 1986

Summary

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Electrodiagnostic evaluation for ulnar nerve compression at the elbow can utilize new techniques. These methods offer reliable data for localizing nerve lesions, especially when standard recording sites are unavailable.

Area of Science:

Neurology
Clinical Electrophysiology

Background:

Ulnar nerve compression at the elbow is a common condition requiring electrodiagnostic assessment.
Standard electrodiagnostic evaluation involves motor conduction studies recording from the abductor digiti minimi.

Observation:

This study describes and evaluates two alternative electrodiagnostic techniques for ulnar nerve assessment.
These techniques involve recording from proximal forearm muscles, specifically the flexor carpi ulnaris and flexor digitorum profundus.

Findings:

All three tested methods (standard and two new techniques) demonstrated comparable normal values.
The newly described techniques are easily, quickly performed, and provide reliable, reproducible data.
The new methods enhance the specific localization of ulnar nerve lesions.

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Implications:

These alternative techniques may be valuable when standard distal recording sites for ulnar nerve evaluation are inaccessible.
They offer improved diagnostic accuracy for proximal ulnar nerve entrapment.